340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH160058AU UNIVERSITY OF IOWA HOSPITALS & CLINICS (Terminated)
Print
Main Details
Name
UNIVERSITY OF IOWA HOSPITALS & CLINICS
Subdivision Name
UNIVERSITY OF IOWA HOSPITALS & CLIN - IRL EAST - PHYSICAL THERAPY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160058AU
Medicare Provider Number
160058
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/24/2023
Last Recertification Date
8/30/2023
Termination Date
Termination Reason
4/1/2024
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
University of Iowa Health Care
Michael Brownlee, Chief Pharmacy Officer
(319) 384-9371
Primary Contact
University of Iowa Health Care
Becky Marie Triplett, Manager, 340B and Compliance
(319) 384-5583
Addresses
Street Address
920 E 2ND AVE
CORALVILLE, IA 52241-2219
Billing Address
UNIVERSITY OF IOWA ACCOUNTS PAYABLE
202 PCO
IOWA CITY, IA 52242
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session